Comparison between the Impact of Video Instructions and Traditional Training on FBS Control in Type 2 Diabetics,Hamadan: A model based intervention

Background: Diabetes is a chronic progressive disorder that imposesnegative effects on various aspects of an individual s life. This study wasconducted to compare the effect of video instructions in comparison withtraditional training on glucose control in type 2 diabetic patients inHamadan.Methods: In this experimental study, 120 patients with type 2 diabetes whoreferred to Diabetes Center of Hamadan were divided into two groups:intervention and control. Data collection tool was a questionnaire based onHealth Belief Model completed by interviewing before, immediately after,and three months after the intervention. In addition, the serum levels ofHbA1c were measured before and three months after the study. Interventionwas conducted on three groups of 20 participants using video playback aswell as question and answer sessions. Data were analyzed by SPSS21 usingFriedman, Wilcoxon and Mann-Whitney tests.Results: This study revealed a significant difference in the median ofknowledge, perceived threat, perceived benefits, and barriers in theintervention group immediately and three months after the intervention.HbA1c levels decreased after the intervention but this change was notsignificant. Three months after the intervention, in the intervention groupeducations provided by both physicians and videos were the most effectivecues to action.Conclusion: Instructional videos for diabetes education can have a positiveimpact on healthy lifestyle in Patients with type 2 diabetes. It was concludedthat decrease in HbA1c level needs longer intervention period; more thanthree months.

Keywords:

Health Belief Model , Instructional Video , Type 2 Diabetes , Self-Efficacy